Cargando…

Post-traumatic stress disorder among people exposed to the Ventotene street disaster in Rome

OBJECTIVE: To test five hypotheses on Post-traumatic stress disorder (PTSD): 1) Is PTSD the most prevalent disorder after trauma? 2) Is the proximity to the disaster related to the risk of PTSD? 3) Is PTSD associated with child mourning or separation, previous stress, or familiarity for psychiatric...

Descripción completa

Detalles Bibliográficos
Autores principales: Raja, Michele, Onofri, Antonio, Azzoni, Antonella, Borzellino, Bruno, Melchiorre, Nicoletta
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2294122/
https://www.ncbi.nlm.nih.gov/pubmed/18321382
http://dx.doi.org/10.1186/1745-0179-4-5
_version_ 1782152539311964160
author Raja, Michele
Onofri, Antonio
Azzoni, Antonella
Borzellino, Bruno
Melchiorre, Nicoletta
author_facet Raja, Michele
Onofri, Antonio
Azzoni, Antonella
Borzellino, Bruno
Melchiorre, Nicoletta
author_sort Raja, Michele
collection PubMed
description OBJECTIVE: To test five hypotheses on Post-traumatic stress disorder (PTSD): 1) Is PTSD the most prevalent disorder after trauma? 2) Is the proximity to the disaster related to the risk of PTSD? 3) Is PTSD associated with child mourning or separation, previous stress, or familiarity for psychiatric disorders? 4) Does the exposition to trauma increase substance abuse or somatization? 5) Can episodic trauma cause long-lasting psychiatric morbidity? METHODS: Clinical assessment of subjects exposed to an explosion in a building caused by a gas-leak. Best estimate clinical diagnoses were made according to DSM-IV-TR criteria. The Zung Depression Rating Scale, the Zung Anxiety Rating Scale, and the Clinician Administered Post Traumatic Stress Disorder Scale were used in the clinical assessment. Statistical analysis was performed by means of t-test with Bonferroni's correction on continuous variables and χ(2 )or Fisher test on categorical variables. RESULTS: PTSD was the most prevalent disorder after trauma, diagnosed in 32 (36.8%) subjects. The subjects who had not seen dead or injured people were more likely to receive no psychiatric diagnosis. Civil status, parenthood, death of relatives in the disaster, personal injuries, history of child mourning or separation, of previous stress, as well as familiarity for any psychiatric disorder or substance use disorder were not related with the rate of ascertained psychiatric diagnoses. Nearly two years after trauma, most of patients who had suffered PTSD still met PTSD criteria. CONCLUSION: The 1(st )and the 5(th )hypotheses were corroborated, the 3(rd )and the 4(th )hypotheses were not confirmed. The 2(nd )hypothesis was partially confirmed.
format Text
id pubmed-2294122
institution National Center for Biotechnology Information
language English
publishDate 2008
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-22941222008-04-15 Post-traumatic stress disorder among people exposed to the Ventotene street disaster in Rome Raja, Michele Onofri, Antonio Azzoni, Antonella Borzellino, Bruno Melchiorre, Nicoletta Clin Pract Epidemiol Ment Health Short report OBJECTIVE: To test five hypotheses on Post-traumatic stress disorder (PTSD): 1) Is PTSD the most prevalent disorder after trauma? 2) Is the proximity to the disaster related to the risk of PTSD? 3) Is PTSD associated with child mourning or separation, previous stress, or familiarity for psychiatric disorders? 4) Does the exposition to trauma increase substance abuse or somatization? 5) Can episodic trauma cause long-lasting psychiatric morbidity? METHODS: Clinical assessment of subjects exposed to an explosion in a building caused by a gas-leak. Best estimate clinical diagnoses were made according to DSM-IV-TR criteria. The Zung Depression Rating Scale, the Zung Anxiety Rating Scale, and the Clinician Administered Post Traumatic Stress Disorder Scale were used in the clinical assessment. Statistical analysis was performed by means of t-test with Bonferroni's correction on continuous variables and χ(2 )or Fisher test on categorical variables. RESULTS: PTSD was the most prevalent disorder after trauma, diagnosed in 32 (36.8%) subjects. The subjects who had not seen dead or injured people were more likely to receive no psychiatric diagnosis. Civil status, parenthood, death of relatives in the disaster, personal injuries, history of child mourning or separation, of previous stress, as well as familiarity for any psychiatric disorder or substance use disorder were not related with the rate of ascertained psychiatric diagnoses. Nearly two years after trauma, most of patients who had suffered PTSD still met PTSD criteria. CONCLUSION: The 1(st )and the 5(th )hypotheses were corroborated, the 3(rd )and the 4(th )hypotheses were not confirmed. The 2(nd )hypothesis was partially confirmed. BioMed Central 2008-03-05 /pmc/articles/PMC2294122/ /pubmed/18321382 http://dx.doi.org/10.1186/1745-0179-4-5 Text en Copyright ©2008 Raja et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Short report
Raja, Michele
Onofri, Antonio
Azzoni, Antonella
Borzellino, Bruno
Melchiorre, Nicoletta
Post-traumatic stress disorder among people exposed to the Ventotene street disaster in Rome
title Post-traumatic stress disorder among people exposed to the Ventotene street disaster in Rome
title_full Post-traumatic stress disorder among people exposed to the Ventotene street disaster in Rome
title_fullStr Post-traumatic stress disorder among people exposed to the Ventotene street disaster in Rome
title_full_unstemmed Post-traumatic stress disorder among people exposed to the Ventotene street disaster in Rome
title_short Post-traumatic stress disorder among people exposed to the Ventotene street disaster in Rome
title_sort post-traumatic stress disorder among people exposed to the ventotene street disaster in rome
topic Short report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2294122/
https://www.ncbi.nlm.nih.gov/pubmed/18321382
http://dx.doi.org/10.1186/1745-0179-4-5
work_keys_str_mv AT rajamichele posttraumaticstressdisorderamongpeopleexposedtotheventotenestreetdisasterinrome
AT onofriantonio posttraumaticstressdisorderamongpeopleexposedtotheventotenestreetdisasterinrome
AT azzoniantonella posttraumaticstressdisorderamongpeopleexposedtotheventotenestreetdisasterinrome
AT borzellinobruno posttraumaticstressdisorderamongpeopleexposedtotheventotenestreetdisasterinrome
AT melchiorrenicoletta posttraumaticstressdisorderamongpeopleexposedtotheventotenestreetdisasterinrome